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SIVA PRASAD REDDY PESALA

Individual Provider (NPI-1) Active

Psychiatry & Neurology, Neurology

Provider Information

NPI Number
1891100368
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
3803 EMERSON AVE, PARKERSBURG, WV, 261041116
Phone
(304) 485-5041
Fax
(304) 485-5678

Specialties & Taxonomies

Psychiatry & Neurology, Neurology Primary License: WV #32764

All Addresses

LOCATION

3803 EMERSON AVE

PARKERSBURG, WV, 261041116

(304) 485-5041

MAILING

3803 EMERSON AVE

PARKERSBURG, WV, 261041116

(304) 485-5041